Search

The Minnesota Multiphasic Personality Inventory-3 (MMPI-3) includes a new Impulsivity (IMP) scale designed to assess for poor impulse-control and non-planful behavior, which was added to broaden the utility of the instrument. The current study aimed to examine the criterion and incremental validity of the IMP scale. A university student sample ( n = 1,440) and a community sample oversampled for externalizing tendencies ( n = 231) were used for this purpose, and IMP scores were compared to scores on various well-validated criterion measures of impulsivity and externalizing psychopathology. To examine the scale's incremental validity, hierarchical multiple regression analyses were conducted to determine whether IMP adds to other MMPI-3 Specific Problem (SP) scales in the prediction of relevant criteria. The IMP scale primarily showed meaningful correlations with the Negative Urgency and Positive Urgency on the UPPS-P. Significant correlations were also observed with the cognitive, behavioral, disinhibition, and lifestyle domains of various psychopathy measures, as well as measures of antisocial personality disorder and substance use. The IMP scale scores accounted for incremental variance in most of the directly relevant criterion measures above and beyond scores of other MMPI-3 SP scales. Several important caveats, limitations, and future directions are discussed., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Martin Sellbom and Yossef S. Ben-Porath are paid consultants to the University of Minnesota Press, publisher of the MMPI-3. Both also receive research received funding from the publisher. Yossef Ben-Porath earns royalties on MMPI-3 sales.

Dr. John L. McNulty, born on January 25, 1955, in Bartlesville, Oklahoma, passed away on October 31, 2023, in Tulsa, Oklahoma, at the age of 68 years. Ever the pragmatist and always bringing a critical mindset to test use, Dr. McNulty coauthored seminal articles demonstrating the absence of predictive bias among African Americans. His commitment to diversity more recently focused on contemporary assessment with transgender and gender-diverse individuals. While Dr. McNulty's empirical work advanced the field of personality and psychopathology, his relationships with colleagues and mentees are his most lasting legacy. Dr. McNulty inspired many while he was here, and his memory will inspire many into the future. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Background: Psychological testing is used in some preoperative psychological evaluations of patients seeking metabolic and bariatric surgery. The Minnesota Multiphasic Personality Inventory-3 (MMPI-3) contains new norms, updated item content, and new scales such as Eating Concerns and Impulsivity, which are relevant to the assessment of patients seeking metabolic and bariatric surgery., Objective: The goal of this investigation was to establish convergent and discriminant properties of the MMPI-3 scales with relevant clinical interview and medical record data from electronic medical records., Setting: Academic medical center in the Midwest., Methods: A sample of 790 consecutive patients who completed a preoperative psychological evaluation and took the MMPI-3 were included. Data from medical records and the assessment report were coded by a trained research assistant., Results: MMPI-3 scale scores demonstrated good convergent and discriminant validity. For instance, the Emotional/Internalizing Dysfunction scales correlated with depression and anxiety disorder, suicide history, sexual abuse history, psychotropic medication use, and eating behaviors. Behavioral/Externalizing Dysfunction scales correlated with alcohol, nicotine, and substance use and eating behaviors such as loss-of-control overeating. The Eating Concerns scale demonstrated the highest correlational patterns with various eating behaviors such as loss-of-control overeating, binge eating, and stress eating., Conclusions: MMPI-3 scale scores perform as well as their Minnesota Multiphasic Personality Inventory-2 Restructured Form counterparts. Newer scales, such as Eating Concerns and Impulsivity, perform particularly well in the assessment of various eating behaviors., (Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)

Background: Metabolic and bariatric surgery (MBS) leads to beneficial and sustained outcomes. However, many patients evidence weight recurrence and psychosocial functioning may be associated with weight recurrence. The Minnesota Multiphasic Personality Inventory - 3 (MMPI-3) is validated for use in presurgical MBS evaluations and likely has clinical utility in understanding weight recurrence and other aspects of postoperative functioning., Objective: The objective of the current investigation is to understand how postoperative psychosocial functioning relates to weight recurrence and other behaviors and constructs 6 years after MBS., Setting: Cleveland Clinic Bariatric and Metabolic Institute., Methods: A sample of 163 participants consented to take a battery of self-report measures related to psychological functioning, eating behaviors, adherence, alcohol misuse, and quality of life along with their postoperative weight. MMPI-3 scale scores were prorated from the Minnesota Multiphasic Personality Inventory - 2 - Restructured Form (MMPI-2-RF) or scored from the Minnesota Multiphasic Personality Inventory - 2 - Restructured Form - Expanded (MMPI-2-RF-EX)., Results: Weight recurrence was quite variable in this sample. Postoperative MMPI-3 scales related to emotional/internalizing dysfunction were modestly associated with higher weight recurrence. Postoperative MMPI-3 scale scores also demonstrated associations with other postoperative outcomes including measures of eating behaviors, adherence, alcohol misuse, and quality of life., Conclusions: Postoperative psychosocial functioning as assessed by the MMPI-3 was associated with weight recurrence and a number of other problematic psychological outcomes beyond weight recurrence., (Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)

Approximately 30% of patients who undergo spinal surgery for chronic back pain continue to experience significant pain and disability up to 2 months following surgery. Prior studies have identified mental health variables including depression and anxiety as predictors of poorer postsurgical outcomes using screening instruments, but no studies have examined long-term outcomes using the Minnesota Multiphasic Personality Inventory-3 (MMPI-3), a commonly used tool used in presurgical psychological evaluations (PPE). Using group-based trajectory modeling and a sample of 404 spine surgery evaluees, the present study examined the trajectories of changes in disability scores from presurgery through 3, 12, and 24 months postsurgery. We then compared scores on MMPI-3 scales between trajectory groups. We identified three trajectory groups of change in disability over time: a rapid-remitting group (8%), characterized by moderate presurgical disability that rapidly and substantially remitted by 12 and 24 months; a steady-recovering group (68%), characterized by moderate presurgical disability, slower change over time, and mild levels of disability at the 2-year time point; and a persisting disability group (24%), characterized by severe presurgical disability that continued into long-term follow-ups. Participants in the persisting pain group produced higher presurgical scores on somatic/cognitive and internalizing MMPI-3 scales than participants in the rapid-remitting and steady-recovering groups. Our results support the clinical utility of the MMPI-3 in PPEs and highlight the importance of evaluating somatic/cognitive concerns and internalizing dysfunction to identify patients who are likely to have poorer postsurgical outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Pre-surgical psychological assessments are becoming common in the United States and are recommended or required prior to surgical/spinal cord stimulator intervention for chronic back pain. Psychological testing is often recommended for these evaluations and the various versions of the Minnesota Multiphasic Personality Inventory (MMPI) have demonstrated utility for predicting outcomes in this setting. This investigation sought to extend that literature with the newest version of the MMPI, the MMPI-3. The sample comprised of 909 patients (50.5% men, 49.5% women) who consented to participating in an outcome study and took the MMPI-3 along with other self-report measures of pain, functional disability, and emotional functioning prior to surgery as part of their pre-surgical psychological assessment. Self-report measures of pain, functional disability, and emotional functioning were administered again one-year following the intervention. MMPI-3 scale scores accounted for up to 9% of additional variance in the outcomes after controlling for pre-surgical measures. Measures of emotional/internalizing dysfunction, somatic dysfunction, and, to a lesser extent, behavioral/externalizing dysfunction contributed the most to the prediction of poorer outcomes., (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

In the present study, we examined performance rating correlates of the Selection Validation Survey (SVS), an informant rating form used to describe the characteristics of newly hired public safety personnel following their initial training period. We correlated SVS ratings for n  = 174 police officers with aggregate scores derived from daily performance observation ratings provided by their field training officers (i.e., senior law enforcement officers assigned to train, observe, and evaluate police recruits during a formal 16-week training period). Results generally indicated moderate to strong associations between conceptually similar SVS ratings and field training officer scores, providing evidence that the SVS variables validly summarize performance-relevant data accrued during the field training period. For example, a single SVS item asking the rater to characterize the officer's overall field performance correlated highly in the expected direction (Spearman's rho = -.69) with a composite of daily ratings describing the officer's observed field performance and problem-solving skills. Taken together, these findings indicate that the SVS meaningfully and efficiently captures a range of important information regarding the performance and professional skills of new police officers, providing a useful validation criterion for predictors of police officer performance.

Psychological testing is an important component of the screening process for public safety officers. The use of standardized measures is intended to increase the objectivity of preemployment evaluations, highlighting the importance of examining tests used in these assessments for evidence of differential validity. Differential validity is indicated when a screening measure is unequally associated with, or systematically over- or under-predicts, a criterion across demographic groups. In the current study, we examined for differential validity in Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scores in a sample of 527 police officer candidates (455 males, 72 females). We first calculated correlations between MMPI-3 scores and job-relevant historical variables. Next, for variable pairings that yielded at least a small effect size, regression models were estimated in a multi-group framework comparing associations between MMPI-3 scores and the historical variables across men and women. The analyses yielded statistical evidence of negligible differential validity across gender in police officer screenings. Implications of these findings and limitations of this study are discussed.

Comparisons of transgender and gender diverse (TGD) individuals' mental health functioning with that of cisgender individuals rely almost exclusively on screening measures. The limited research with TGD individuals and omnibus assessment measures has primarily used previous iterations of the Minnesota Multiphasic Personality Inventories (MMPIs). This study sought to examine the psychometric functioning of the MMPI-3 with a TGD community sample ( n = 97) and compare mean scores across TGD and cisgender subsamples. We expected MMPI-3 substantive scale reliability to be comparable across all samples and subsamples. Individual MMPI-3 scales were expected to demonstrate appropriate convergent and discriminant validity with relevant criterion measures in the TGD sample. Results generally supported MMPI-3 scale score reliability and validity with TGD individuals. Next, three sets of mean score comparisons were conducted across all MMPI-3 substantive scales: (a) TGD individuals not currently in mental health treatment and the MMPI-3 normative sample, (b) TGD individuals not currently in mental health treatment and TGD individuals currently in mental health treatment, and (c) TGD individuals currently in mental health treatment and an outpatient mental health sample. Fewer differences were found between TGD individuals in our sample who were not currently in mental health treatment and the MMPI-3 normative sample compared to previous work. This initial study indicates that MMPI-3 scales largely have appropriate psychometric properties when administered to a TGD sample and that the test may be helpful in identifying mental health needs of TGD individuals. Needs and directions for further research are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Objective: Previous evidence indicates that scales from the Minnesota Multiphasic Personality Inventory (MMPI) family of instruments can measure self-reported posttraumatic stress disorder (PTSD) symptomology and differentiate symptom clusters, including in forensic disability assessments. However, limited research has examined assessment of PTSD symptoms with the MMPI-3, the most recent MMPI instrument. The goal of the current study was to identify the strongest MMPI-3 scale predictors of individual PTSD symptom clusters, measured via self-report., Methods: Using a sample of 716 disability claimants (54.2% men; M age  = 42.98, SD = 10.87; 81.8% White), correlation, regression, and dominance analyses were performed to examine associations between scores on MMPI-3 scales and latent PTSD symptom cluster factors derived using confirmatory factor analyses from items of the Detailed Assessment of Posttraumatic Stress (DAPS), and to identify the strongest predictor of each symptom cluster when MMPI-3 scales were concurrently considered., Results: Results indicate that conceptually expected MMPI-3 scale scores were meaningfully associated with PTSD symptom cluster factors, with the MMPI-3 Anxiety-Related Experiences (ARX) scale demonstrating the strongest and most consistent associations across symptom clusters., Conclusions: Results of the current study largely converge with previous empirical studies of self-reported PTSD symptoms in disability claimant settings with the MMPI instruments. Interpretive implications for the MMPI-3, limitations, and future research directions are discussed., (© 2023 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC.)

Objective: The present study was the first to investigate the test performance and symptom reports of individuals who engage in both over-reporting (i.e., exaggerating or fabricating symptoms) and under-reporting (i.e., exaggerating positive qualities or denying shortcomings) in the context of a forensic evaluation. We focused on comparing individuals who over- and under-reported (OR + UR) with those who only over-reported (OR-only) on the MMPI-3. Method: Using a disability claimant sample referred for comprehensive psychological evaluations ( n  = 848), the present study first determined the rates of possible over-reporting (MMPI-3 F ≥ 75 T, Fp ≥ 70 T, Fs ≥ 100 T, or FBS or RBS ≥ 90 T) with ( n  = 42) and without ( n  = 332) under-reporting (L ≥ 65 T). Next, we examined group mean differences on MMPI-3 substantive scale scores and scores on several additional measures completed by the disability claimant sample during their evaluation. Results: The small group of individuals identified as both over-reporting and under-reporting (OR + UR) scored meaningfully higher than the OR-only group on several over- and under-reporting symptom validity tests, as well as on measures of emotional and cognitive/somatic complaints, but lower on externalizing measures. The OR + UR group also performed significantly worse than the OR-only group on several performance validity tests and measures of cognitive ability. Conclusions: The present study indicated that disability claimants who engage in simultaneous over- and under-reporting portray themselves as having greater levels of dysfunction but fewer externalizing tendencies relative to claimants who only over-report; however, these portrayals are likely less accurate reflections of their true functioning.

The COVID-19 pandemic onset necessitated remote administration of psychological instruments, including the Minnesota Multiphasic Personality Inventory-3 (MMPI-3). Although previous evidence has demonstrated that MMPI scale scores are robust across administration modalities, the specific effects of remote administration on the psychometric properties of MMPI-3 scale scores must be investigated. Distinguishing psychometric differences due to administration modality from substantive changes in psychological symptoms due to the COVID-19 pandemic is also important. Thus, goals of the present study include evaluating the psychometric comparability of MMPI-3 scores derived from in-person and remote administration modalities and examining substantive scale scores changes associated with the COVID-19 pandemic. Using a large sample of college students ( n = 2,503), rates of protocol invalidity, mean scale scores, reliability, and criterion validity were compared across participants completing the MMPI-3 in-person (both prior to and after the onset of COVID-19) and via remote administration. Results demonstrate comparably low rates of protocol invalidity, negligible differences in reliability, and similar patterns of criterion validity for MMPI-3 scale scores across administration modalities. Results also indicate that mean MMPI-3 scale scores pre- and post-COVID-19 onset substantially differ on select scales, but that scores on remote and in-person protocols administered post-COVID-19 have negligible differences. Remote MMPI-3 scale scores also demonstrated expected patterns of correlations with external criteria, supporting the validity of remote scores. Overall, the present study demonstrates that MMPI-3 protocols administered remotely and in-person are extremely psychometrically similar, although scores have generally increased post-COVID-19 onset for reasons independent of administration modality. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Most states require that a police candidate's suitability be assessed through preemployment psychological evaluations. Given the psychological stress officers experience in the line of duty, it is possible that experienced candidates would produce scores indicating greater dysfunction on psychological testing relative to inexperienced candidates. No known research has investigated whether police candidates produce different preemployment test scores across experience levels. The present study sought to address this gap in the literature and offer data to guide evaluators' interpretation of test scores for candidates with prior law enforcement (LE) experience. We used a sample of 400 police candidates (18.5% women) evaluated for positions at several LE agencies for whom Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scores were available. Results showed no practically meaningful differences when comparing MMPI-3 scores of candidates with no prior experience, less than 5 years of experience, and 5 or more years of experience. We also compared frequencies at which the three groups elevated MMPI-3 scales at cutoffs specified in Assessing Police and Other Public Safety Personnel Using the MMPI-3: A Practical Guide (Corey & Ben-Porath, 2022) and found minimal differences. Together, these findings indicate that MMPI-3 scores can be interpreted consistently with published guidelines regardless of a candidate's prior LE experience. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The present study evaluated the validity of Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scores among police ( n = 1,294), correctional officer ( n = 190), dispatcher ( n = 205), and firefighter ( n = 237) candidates using psychosocial history data collected with the Psychological History Questionnaire (PsyQ) at a private practice in the Northwestern United States. MMPI-3 scale elevations at T score cutoffs specified in the MMPI-3 User's Guide for the Public Safety Candidate Interpretive Reports (Corey & Ben-Porath, 2022) were examined. Consistent with previous research using the MMPI-2-RF, MMPI-3 T score means were lower and less variable in this public safety preemployment context relative to the normative sample. In addition, MMPI-3 scores were meaningfully associated with a number of aggregated scale scores derived from PsyQ data, particularly in the behavioral/externalizing domain. To address limited research on preemployment personality testing among female police candidates and the absence of research among nonpolice public safety occupations, Cohen's q was used to compare validity coefficients across male and female police candidates and across police and correctional officer, dispatcher, and firefighter candidates. Differences were minimal, with all statistically significant effects being small in magnitude, indicating the MMPI-3 correlates identified with police candidates replicate to other public safety positions.

Presurgical psychological assessment of bariatric surgery candidates aims to identify psychosocial risk factors and provide treatment recommendations to facilitate optimal outcomes. Such assessment typically includes psychometric testing and a clinical interview. The Minnesota Multiphasic Personality Inventory (MMPI) has been commonly used as a broadband measure to assess a number of psychosocial domains in bariatric clinics. The newest version of the MMPI, the MMPI-3, was recently released. This study sought to (1) establish whether the MMPI-3 is comparable to the MMPI-2-RF in a sample of patients seeking bariatric surgery, (2) report reliability data for all MMPI-3 scale scores in this sample, and (3) explore associations between commonly used self-report symptom measures and substantive scales of the MMPI-3 to ascertain convergent and discriminant validity patterns. Six hundred and thirty-five presurgical patients completed the MMPI-3 in addition to the Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7), Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), and Eating Disorder Examination-Questionnaire (EDE-Q). The majority (79.1%) of the sample was female, 65.5% was white, and 26.6% was Black. Scores on most of the MMPI-3 Emotional/Internalizing Dysfunction scales were meaningfully associated with the PHQ-9, GAD-7, and most EDE-Q subscales (except for Restraint). Meaningful discriminant patterns were observed as well. We conclude that the substantive scales of the MMPI-3 are reliable, comparable to their MMPI-2-RF counterparts, and evidence good convergent validity with extra-test measures assessing depression, anxiety, alcohol use, and eating disorder psychopathology in a preoperative bariatric sample., (© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Assessing for problematic substance use in neuropsychological assessments is crucial for differential diagnosis and attribution of symptom causes. The current investigation examines the utility of the Minnesota Multiphasic Personality Inventory-3 (MMPI-3 in predicting such substance use in a clinical neuropsychology sample. Participants included 208 outpatient neuropsychological examinees. Correlations and risk ratios were calculated for externalizing-psychopathology-related scales and external substance use criteria. Hierarchical regressions examined the incremental prediction of criteria by MMPI-3 externalizing scales above the Substance Abuse (SUB) scale. Results indicate that MMPI-3 externalizing scales are associated with substance-use-related criteria as conceptually expected. Additionally, we report significantly increased risk of experiencing substance-use-related problems at various T score elevations on multiple externalizing scales. Finally, SUB served as the primary predictor of substance-use-related criteria. These findings support the ability of the MMPI-3 to assess for past or current substance use and negative consequences of substance use in a clinical neuropsychology setting.

The Minnesota Multiphasic Personality Inventory-3 (MMPI-3) includes two self-concept-oriented scales: Self-Doubt (SFD), a measure of low self-esteem, and Self-Importance (SFI), a measure of beliefs that one has special attributes and abilities. Past research has demonstrated that SFD and SFI measure related but distinct constructs. The present study focused on explicating the meaning and clinical implications of low SFI scores. Using three clinical samples (private practice and community mental health and private practice neuropsychology clinics), we investigated whether the presence of interpretable low SFI scores (< 39 T) in the context of interpretable SFD elevations (≥ 65 T) is associated with distinctive MMPI-3 findings, and whether low SFI scores add clinically meaningful information in predicting relevant extra-test criteria. Consistent meaningful findings were obtained with respect to implications of low SFI scores for assessment of depression- and social engagement-related constructs. Additionally, the full range of SFI scores was meaningfully and negatively correlated with depressive disorder diagnoses and suicidal ideation but yielded very small correlations with suicide attempt and nonmeaningful correlations with diagnoses of Social Anxiety or Avoidant Personality Disorder. Hierarchical logistic regression analyses showed that SFI scores could meaningfully increment other related MMPI-3 scales in predicting diagnosed depressive disorders, albeit with small effect sizes.

Objective: The aim of this investigation was to provide information about the utility of the newly revised and renormed Minnesota Multiphasic Personality Inventory-3 (MMPI-3) over-reporting scales in a forensic disability sample. Method: Participants consisted of 550 non-head injury disability-related referrals (i.e. 95.6% for worker's compensation) and were primarily diagnosed with an adjustment disorder, depressive disorder, or posttraumatic stress disorder. Criterion measures included performance validity indicators and non-MMPI symptom validity indicators. Results: Correlation analyses showed that validity scale F was most strongly associated with non-MMPI symptom validity indicators, whereas F, Fs, FBS, and RBS were comparable to each other in their associations with performance validity indicators. Group mean comparisons between Pass versus Fail PVT groups showed that RBS consistently yielded the largest effect sizes. Using established structured criteria for Malingered Neurocognitive Dysfunction (MND), additional group mean comparisons showed that RBS, followed by Fs, F, and FBS, performed well in differentiating genuine responders from MND examinees. Classification accuracy estimates indicated that the MMPI-3 over-reporting scales performed well in the prediction of Probable/Definite MND and, as expected, to a lesser degree of Possible MND . Conclusions: Practical applications, study limitations, and directions for future research are discussed. The overall findings from this study provide empirical support for the utility of the MMPI-3 over-reporting scales in detecting negative response bias in forensic disability evaluations.

The Minnesota Multiphasic Personality Inventory (MMPI) family of instruments have long been used in child custody and parental fitness evaluation (PFE) contexts, spanning from the original MMPI to the recently released MMPI-3. In addition to updating the English-language normative sample and expanding content coverage, the MMPI-3 was released with a U.S. Spanish-language normative sample. The present study sought to examine the psychometric properties of the Spanish-language MMPI-3, specifically in a PFE context. The sample consisted of individuals who were evaluated for parental fitness at a multisite private practice in Puerto Rico. A combined gender comparison group sample with equal number of men and women ( n = 238) produced mean T scores that were within half a standard deviation of the Spanish-language normative sample on all scales. Scores on the Symptom Validity Scale were meaningfully higher among women ( n = 247) relative to the normative sample, and the mean juvenile conduct problems score among men ( n = 119) was meaningfully higher than that of the normative sample. Reliability estimates were generally adequate, with some reflecting low internal consistency; however, low standard errors of measurement indicated that low alpha estimates were a function of range restriction rather than measurement imprecision. Limitations, including the need for the accumulation of validity evidence, are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The current study evaluated the comparability of Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scale scores derived from the 335-item MMPI-3 to MMPI-3 scale scores derived from the 433-item MMPI-2 restructured form-expanded version (MMPI-2-RF-EX), an enhanced version of the MMPI-2-RF that was used to develop and validate the MMPI-3. To that end, we examined data from 192 college undergraduates who completed both the MMPI-3 and MMPI-2-RF-EX 1 week apart using a counterbalanced design. Across versions, mean T-scores and standard deviations, estimates of internal consistency, and standard error of measurement values, were highly similar, indicating no clinically meaningful differences across versions. We also compared between-version test-retest comparability values with within-version values calculated using a sample of undergraduates ( N = 318) who completed the MMPI-2-RF-EX twice over the same time interval, finding only marginal differences across the two samples. Finally, we computed column-vector correlations between MMPI-3 scores from both versions and several criterion measures, where results reflected no effect of test version on external validity. Overall, we determined that scale scores derived from either booklet are psychometrically interchangeable, indicating that MMPI-3 scale scores obtained from an administration of the MMPI-2-RF-EX can be applied when using the 335-item MMPI-3.

The Minnesota Multiphasic Personality Inventory (MMPI) family of instruments has been commonly used for the evaluation of patients seeking surgical intervention for back pain. A new version of the MMPI, the Minnesota Multiphasic Personality Inventory-3 (MMPI-3), has been released with updated normative data, expanded and revised item content, and updated scales. The purpose of this investigation is to report reliability and validity findings for MMPI-3 scale scores of patients seeking spine surgery. Using a sample of 761 spine surgery candidates (390 men and 371 women), descriptive data, reliability and standard error of measurement, and zero-order correlations using external criteria (self-report and information gathered from a medical record review/clinical interview) were calculated. By and large, men and women produced MMPI-3 scale scores that were similar with a few exceptions. Many reliability estimates and standard errors of measurement were replicable compared to those reported for the MMPI-3 normative sample for scales that yielded adequate range. The scale scores of the MMPI-3 also yielded evidence of good convergent and discriminant validity when correlated with external criteria. Indeed, MMPI-3 scale scores accounted for 2%-15% of incremental variance in data obtained via the clinical interview and medical chart, once other self-report measures were accounted for. Overall, many of the MMPI-3 scale scores used in spine surgery evaluations appear to be reliable and valid. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

In this paper, we review the historical evolution of the MMPI instruments, consider the empirical foundations for its use in Forensic Mental Health Assessments (FMHAs) with particular emphasis on the applicability of MMPI-2-RF research to these evaluations, and identify ways in which the inventory can be effectively but also inappropriately used in these assessments. We also review appellate court decisions related to forensic uses of the MMPI and discuss implications for cross-examination on MMPI-3-based testimony, emphasizing the need for forensic practitioners to be familiar with the empirical research available to guide MMPI-3 use in FHMAs. We identify areas needing further research, including the utility of the test in assessments of persons of color, investigations of the applicability of MMPI-3 results in various specific forensic assessments and rehabilitative applications, and further research on implications of the new English and Spanish-language norms. Potential contributions of studies using the updated MMPI-3 scales in descriptive research on forensic populations are also discussed. We conclude that when used properly to assess for evidence of invalid responding that may affect FMHAs, or psychological functioning relevant to answering psycho-legal referral questions, the MMPI-3 rests on solid empirical foundations that can withstand the scrutiny inherent in forensic evaluations.

In this study, we explore the effects of in-person versus remote administration and in-person versus remote proctoring on scores on the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF) in the context of police candidate preemployment evaluations. To this end, we compare data gathered from candidates who completed the test under standard, in-person conditions with data from candidates who completed the test remotely with the Q-global Remote On-Screen Assessment (ROSA) system, using either in-person or remote proctoring. We find that the standard group ( n = 3,311), remote administration/in-person proctoring group (ROSA-IPP; n = 108), and remote administration/remote proctoring group (ROSA-RP; n = 90) all produce very similar distributions of scores, with group differences in means and standard deviations no greater than two T-score points per scale. Examination of the correlations between MMPI-2-RF externalizing scale scores and a set of relevant extra-test criteria for the ROSA-IPP and ROSA-RP groups reveals little difference between groups and suggests patterns of convergent and discriminant validity similar to those observed in studies of the MMPI-2-RF under standard administration conditions. Taken together, these findings provide evidence that the MMPI-2-RF's psychometric properties in police candidate preemployment evaluations are equivalent regardless of whether the test is administered in-person or remotely and whether proctoring is conducted in-person or remotely. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Purpose: A considerable number of post-bariatric surgery patients report problematic eating behaviors (PEBs) and/or eating disorders (EDs). Examining psychosocial variables associated with ED symptoms may identify targets for postoperative interventions to reduce these behaviors and improve surgical outcomes., Methods: A total of 161 participants completed the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) and the Eating Disorder Examination-Questionnaire (EDE-Q). Participants were classified into ED risk or no ED risk groups and subjective binge eating (SBE) or no SBE groups. Independent-sample t tests were computed to examine mean differences in total weight loss (%TWL) and MMPI-2-RF scale scores between the ED groups. Relative Risk Ratios (RRRs) were computed to determine which MMPI-2-RF scales were associated with increased risk of ED group membership., Results: The ED risk group lost significantly less weight (19.36% TWL) than the no ED risk group (25.18% TWL). The SBE group lost significantly less weight (17.98% TWL) than the no SBE group (25.57% TWL). Participants in the ED groups scored significantly higher on internalizing and externalizing MMPI-2-RF scales than the no ED groups. These scales were associated with increased risk (1.55-2.55 times the risk) of being classified into the ED groups., Conclusions: Patients who experienced postoperative ED symptoms lost significantly less weight than patients without ED symptoms. Postoperative ED symptoms are related to, and may be impacted by, higher levels of internalizing and externalizing dysfunction after surgery. Postoperative assessment of and interventions targeting psychosocial dysfunction could decrease ED symptoms., Level of Evidence: III: Evidence obtained from well-designed cohort or case-control analytic studies., (© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature.)

The present study evaluated the criterion validity and practical utility of Minnesota Multiphasic Personality Inventory-3 (MMPI-3) scores in preemployment evaluations of police candidates ( n = 377) and candidates for other public safety occupations ( n = 276) in the Midwestern United States. Preemployment psychological reports were used to rate problems in the ten California Commission on Peace Officer Standards and Training screening dimensions (POST-10 dimensions). MMPI-3 T score means and standard deviations indicated that substantive scale scores were generally lower and less variable relative to the normative sample. MMPI-3 scores were meaningfully associated with problems in the POST-10 dimensions with similar patterns as past research but with generally larger effect sizes (likely due, in part, to criterion contamination). Relative risk ratio (RRR) findings supported the practical utility of interpretive guidelines described in the MMPI-3 Police Candidate Interpretive Report interpretive manual. Results are discussed in terms of the wider MMPI-2-RF literature in police officer preemployment evaluations. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The MMPI-3 is an updated version of the MMPI-2-RF that provides enhanced coverage of constructs related to personality and psychopathology. A new Self-Importance (SFI) scale measures individuals' beliefs that they possess special qualities. Low SFI scores indicate that test-takers report lacking such attributes. The Self-Doubt (SFD) scale, which was revised from the MMPI-2-RF, also has a self-orientation and measures a lack of self-esteem. The current study used three college student samples to investigate whether MMPI-3 SFI and SFD measure distinct constructs; in other words, are beliefs about self-importance distinct from self-esteem? SFI and SFD scores were conversely but differentially associated with measures of positive valence, self-esteem, and grandiose and vulnerable narcissism. Dominance and regression analyses indicated that SFI scores generally dominated SFD scores in prediction of positive valence and grandiose narcissism (characterized by grandiosity, dominance, aggressiveness). SFD scores generally dominated SFI scores in prediction of self-esteem and vulnerable narcissism (characterized by negative affect, feelings of incompetence, inadequacy). The current findings indicated that self-importance and self-esteem are two distinct constructs and therefore appropriately measured by separate scales.

The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) Personality Disorder (PD) Spectra scales reflect a recent effort to dimensionally measure Diagnostic and Statistical Manual of Mental Disorders -5-based personality disorders. Initial studies generally support the sound psychometric properties of most scales, although the need to continue cross-validating and expanding the known empirical correlates of these scales remains. The goal of the current investigation was to replicate and extend previous research on MMPI-2-RF PD Spectra scale scores and further examine their construct validity. Using a sample of 765 undergraduate students (69.3% female; M age = 19.95; 73.3% White), zero-order correlations between scores on MMPI-2-RF PD Spectra scales and measures of personality and psychopathology variables were calculated. Median convergent and discriminant correlations were compared using Fisher's r -to- z tests. Results indicated that hypothesized convergent associations were meaningfully stronger in magnitude than hypothesized discriminant ones, with exceptions to scales measuring Obsessive-Compulsive, Narcissistic, and Paranoid PDs. Findings generally supported the construct validity of MMPI-2-RF PD Spectra scale scores. Implications for clinical practice and research, methodological limitations, and suggestions for future research are discussed.

Establishing the cross-cultural measurement invariance of psychometric scales is considered an essential step before scale means are compared across cultures. Although the MMPI instruments have been extensively researched, few studies have examined the measurement equivalence of MMPI scales in cross-cultural research. This study examined the measurement invariance of MMPI-2-RF Restructured Clinical Scale 4 (RC4; Antisocial Behavior) using multi-group confirmatory factor analysis with American and Korean clinical samples by (a) comparing a rationally-derived four-factor model (School Problems, Substance Abuse, Family Problems, and Violation of Social Norms) with a one-factor model, and (b) examining the measurement invariance of the RC4 four-factor model. After adjusting for age and gender, partial scalar invariance was achieved, and six non-invariant items were identified, most of which centered around substance abuse. Results support the generalizability of the four factors across cultures; however, special attention is needed when using substance abuse items with Korean clinical populations. Plausible sources of item non-invariance were explored in the context of translation challenges and observed patterns of relationship with external measures.

Nonsuicidal self-injury (NSSI), the deliberate destruction of one's own body tissue without suicidal intent, is a prevalent problem linked to adverse outcomes. Many assessment tools designed to assess for NSSI risk are limited by their behavioral focus, which does not cover the numerous affective, cognitive, and interpersonal correlates. The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) is a widely used inventory of personality and psychopathology that assesses a range of empirical correlates of NSSI risk. The purpose of this study was to investigate the utility of the MMPI-2-RF for assessing these NSSI-related constructs. On the basis of a review of the literature and item content, we pre-identified MMPI-2-RF measures of constructs associated with NSSI risk. Correlations between scores on these scales and the number of methods of NSSI identified several meaningful results, including some small but consistent gender differences in these associations. Zero-inflated negative binomial regression analyses indicated that scores on some expected MMPI-2-RF scales independently predicted NSSI variability. Relative risk ratio analyses demonstrated the potential clinical utility of MMPI-2-RF scale scores for assessing risk of engagement in NSSI. These findings indicate that the MMPI-2-RF may be a useful tool for assessing risk for NSSI among college students.

Prior research has shown that psychopathic personality traits are differentially related to suicide risk, and limited literature also suggests the potential that such risk manifests differently across sex. The current study sought to examine whether sex moderated associations between domains from the triarchic model of psychopathy, a comprehensive perspective of psychopathy, and various suicide variables. Our sample included 1,064 criminal defendants (760 males, 304 females), who had been administered the MMPI-2-RF, from which triarchic psychopathy scales were scored. Suicide-related variables, including current suicidal ideation during interview, history of previous suicide attempts, and number of previous suicide attempts, were reliably obtained from clinical records. The MMPI-2-RF SUI (Suicide/Death Ideation) scale was also examined as a psychometric operationalization of suicidality. Results provided evidence for the general association between psychopathy-related traits and suicide-related outcomes in a manner consistent with the literature. However, these associations did not differ as a function of sex.

Background: Research identifying preoperative psychosocial predictors of bariatric surgery outcomes has yielded inconsistent results with minimal examination of longer-term outcomes. Utilizing a broadband measure of personality and psychopathology during the preoperative evaluation helps to identify preoperative risk factors for suboptimal bariatric surgery outcomes., Objective: Examine predictors of outcome and the incremental contribution of presurgical psychological testing to various long-term bariatric surgery outcomes., Setting: Academic medical center., Method: A total of 168 postoperative patients (average of 6 postoperative years) consented to participate in the outcome study. Participants were weighed by the trained research/clinical staff and completed a battery of self-report questionnaires, including measures assessing eating attitudes and behaviors and weight-related quality-of-life (QoL). Patients had completed the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) as part of the institution's routine preoperative psychosocial evaluation. Weight loss was calculated as percent total weight loss (%TWL) and percent weight regain (%WR) was calculated as a percentage of maximum weight loss. Other preoperative data were obtained from a review of each patient's electronic medical record (EMR). From the initial sample, 145 patients were retained for analyses in the present study., Results: Preoperative problematic eating variables predicted long-term postoperative problematic eating behaviors and body image concerns. Scores on preoperative MMPI-2-RF scales measuring Demoralization, Dysfunctional Negative Emotions, Antisocial Behaviors, and Hypomanic Activation were consistent incremental predictors of 6-year outcomes, accounting for an additional 3%-24% of the variability in postoperative eating behaviors and QoL., Conclusions: The preoperative psychological evaluation can be used to identify predictors of long-term bariatric surgery outcomes. Identification of these risk factors provides important targets for pre- and postoperative clinical interventions to maximize surgical outcomes., (Copyright © 2021 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)

Eating pathology is common pre-operatively and continues to be prevalent following bariatric surgery. A new version of the Minnesota Multiphasic Personality Inventory (MMPI), the MMPI-3, contains a new scale called Eating Concerns (EAT) that aims to assess problematic eating behaviors. The current investigation seeks to establish preliminary convergent validity of the MMPI-3 EAT scale in a postoperative bariatric surgery sample. Thirty-eight consecutive participants took the MMPI-3 and the Eating Disorder Examination-Questionnaire (EDE-Q). Higher MMPI-3 EAT scale scores were meaningfully associated with %Weight Regain (r = .37) and scale scores on the EDE-Q [Eating Concerns (r = .67), Weight Concerns (r = .39), Shape Concerns (r = .54), and the EDE total score (r = .59)]. Initial examination of the EAT Specific Problem Scale of the MMPI-3 yields good clinical utility in assessing eating pathology in a postoperative bariatric surgery sample.

The current study utilized an experimental design to investigate the utility of the Minnesota Multiphasic Personality Inventory (MMPI)-3 Validity Scales for detecting overreporting and underreporting and the impact of these response sets on substantive scale scores. College students completed a battery of criterion measures before assignment to a Standard Instructions (SIs) Group (n = 288), an Overreporting Group (n = 250), or an Underreporting Group (n = 215). t tests demonstrated that scores on MMPI-3 overreporting indicators and most substantive scales were higher among the Overreporting Group relative to the SI group with very large effect sizes, and scores on MMPI-3 underreporting indicators were higher and most substantive scales scores were lower among the Underreporting Group relative to the SI group, with moderate to large effects. Classification accuracy estimates documented the effectiveness of MMPI-3 Validity Scales in detecting overreporting and underreporting. Bivariate correlations between MMPI-3 substantive scale scores and criterion measures (which were completed under SIs for all three groups) were substantially attenuated for both simulation groups relative to the SI Group. Bivariate correlations were also attenuated for groups identified as overreporting or underreporting using MMPI-3 Validity Scale scores relative to individuals with valid MMPI-3 protocols, highlighting the need for and importance of appraising threats to protocol validity when assessing personality and psychopathology by self-report. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

The Minnesota Multiphasic Personality Inventory (MMPI) instruments have a longstanding history of clinical applications in neuropsychological settings, and many studies have supported the utility of MMPI-2-Restructured Form scores among specific neuropsychological populations. However, the MMPI-3, a new version of the MMPI, has yet to be studied in a clinical neuropsychological setting. To address this need, we investigated the psychometric properties of MMPI-3 scores using a sample of 197 independent practice outpatient neuropsychology examinees (56.9% women; 80.2% White). Internal consistency coefficients and standard errors of measurement were generally consistent with statistics reported for two comparison groups included in the MMPI-3 Technical Manual, supporting the reliability of MMPI-3 scores. Correlations with external criteria-including presenting problems, neurocognitive, psychological/behavioral, and psychiatric diagnostic variables-supported the convergent and discriminant validity of MMPI-3 scores. Finally, relative risk analyses showed meaningful and theoretically expected findings, supporting the utility of the MMPI-3 in a clinical neuropsychological setting. Practical applications, study limitations, and future research directions are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Introduction: Mental health professionals routinely assess psychosocial risk factors prior to bariatric surgery to help identify factors that may impede surgical outcomes. Data regarding longer-term psychosocial functioning postoperatively are needed., Purpose: Assess the psychosocial functioning of patients who obtained bariatric surgery approximately 6 years ago., Methods: A total of 161 patients consented to participate in the outcome study. Participants were compensated for their time and participation. Participants were weighed by the research/clinical staff and asked to complete a battery of self-report measures, including the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF). Other measures targeted adherence, eating behaviors/body image, alcohol use, and quality of life., Results: Postoperative MMPI-2-RF scores indicate psychosocial functioning is largely similar to previously published pre-surgical functioning data. Six-year weight loss outcomes were lower than previous studies reported for a similar postoperative time period (mean %total weight loss = 22.98%; standard deviation = 11.71), though quality of life scores were relatively high. Postoperative MMPI-2-RF scale scores were associated with poorer psychosocial functioning, reduced adherence, greater eating behaviors/body image concerns, greater alcohol use severity, lower quality of life, and less overall weight loss., Conclusions: Psychological dysfunction 6 years after surgery is associated with various adverse outcomes. Ongoing, postoperative treatment may result in better long-term functioning for patients.

A well-validated test of normal personality functioning is necessary in preemployment evaluations of candidates for public safety positions. In this study, we evaluated the construct validity and predictive validity of one such measure, the Multidimensional Personality Questionnaire (MPQ), in a large sample of candidates for law enforcement positions. We examined associations between MPQ scale scores and biographical data, clinician suitability ratings on the 10 established California Commission on Peace Officer and Standards and Training (POST) psychological screening dimensions, and (for a subsample) posthire performance outcome data. MPQ scores generally demonstrated a conceptually expected pattern of associations with criterion variables, supporting their construct validity. Scores related to negative emotionality were particularly salient predictors of a range of POST-10 suitability ratings. Scales assessing aspects of positive emotionality, impulsivity, as well as absorption, emerged as the best predictors of posthire performance problems.

This study examines the convergent validity of the substantive scales of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in the Veteran Affairs (VA) population. The sample includes test protocols drawn from all administrations of the MMPI-2-RF or MMPI-2 entered into the electronic medical record system between January 1, 2008 and May 31, 2015 at any VA across the United States. After excluding invalid protocols, substantive scale scores were correlated with external measures of depression, anxiety, and posttraumatic stress disorder if they were administered within |14| days of the MMPI-2/-RF. Results supported the convergent validity of the MMPI-2-RF emotional dysfunction domain scores. Discriminant validity for the remaining MMPI-2-RF substantive scale scores was also adequate. Limitations and implications of these findings are discussed.

The Cognitive Bias Scale (CBS; Gaasedelen, Whiteside, Altmaier, Welch, & Basso, 2019) was developed as a Personality Assessment Inventory (PAI) indicator of poor performance on Performance Validity Tests (PVTs) in a neuropsychological context. The current study aimed to investigate the effectiveness of the CBS in a forensic disability sample through a series of analyses by comparing it to other PAI validity scales and the Minnesota Multiphasic Personality Inventory (MMPI)-2-RF overreporting scales with an emphasis on the Response Bias Scale (RBS), which guided the development of the CBS. The participants in this study were drawn from an archival dataset containing 588 consecutive civil disability claimants. Findings showed the RBS and the CBS yielded similar patterns of negative correlations to PVTs, with RBS effect sizes being somewhat larger in most comparisons. Results of ANOVAs showed that the RBS produced the largest effect sizes in distinguishing between incentive only versus probable/definite malingered neurocognitive dysfunction (MND) groups, followed by the CBS. Estimates of sensitivity and specificity were comparable between the RBS and CBS at liberal cut scores, but the RBS was more specific to detecting Probable/Definite MND at more conservative cutoffs. Hierarchical logistic regression analyses showed that RBS accounted for 6% variance over CBS in the probable/definite MND classification, whereas the CBS accounted for 2% variance beyond the RBS. Overall, the results of this study support the utility of the CBS as the most effective PAI validity scale for detecting MND in a civil disability sample, and the RBS generally outperformed the CBS to some degree in all analyses. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Limited research has examined the link between Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scales and contemporary personality and psychopathology models within correctional settings. This study focused on establishing construct validity of the MMPI-2-RF in offender samples from a broad personality framework. Two samples of incarcerated men and women completed a battery of broadband personality measures and narrowband measures that capture conceptually related constructs. To examine how MMPI-2-RF scale scores and criterion measures converged in a conjoint latent structure, we conducted a series of exploratory structural equation modelling analyses, which revealed factors similar to those of extant hierarchical personality models. At the broadband level, four factors (Positive Activation, Negative Affectivity, Inhibition and Agreeableness) were observed, whereas narrowband criteria yielded five factors (Behavioural Approach System, Disinhibition/Externalizing, Danger/Thrill Seeking, Self-Assurance/Boldness, and Unemotionality/Coldheartedness). MMPI-2-RF scale scores converged with the personality/psychopathology models in a theoretically expected manner. Limitations and directions for future research are discussed. © 2020 John Wiley & Sons, Ltd., (© 2020 John Wiley & Sons, Ltd.)

Purpose: To identify associations between eating disorder (ED) attitudes and behaviors and scores on the MMPI-2-RF in college students., Methods: The study included 425 undergraduate students (38.5% males and 61.5% females) with a mean age of 19.13 (SD = 1.77). Measures included the MMPI-2-RF and the Eating Disorder Examination Questionnaire. Correlations and relative risk ratios were computed between MMPI-2-RF scores and ED variables., Results: Scores on several MMPI-2-RF Scales were associated with the presence of subthreshold ED symptoms. Manifestations of emotional/internalizing dysfunction were associated with all ED symptom presentations., Conclusions: The results of this study identified narrowly defined personality and psychopathology constructs relevant to, and found across college students experiencing various subthreshold ED symptoms. Considering this additional information in ED screening or treatment planning could reduce the likelihood of subthreshold symptoms worsening and increase the effectiveness of ED interventions with at-risk college student populations., Level of Evidence: Level III, evidence obtained from well-designed cohort or case-control analytic studies.

The purpose of this study was to evaluate a flexible and conditional administration (FCA) for the MMPI-2-RF in archival samples of spine surgery and spinal cord simulator candidates presenting for presurgical psychological evaluations. The sample included 1,477 spine surgery candidates (709 male, 276 female) and 476 spinal cord stimulator candidates (178 male, 298 female). Using a simulation design, the results of this study indicated that an FCA of the MMPI-2-RF closely approximates the amount of information gained from a standard MMPI-2-RF administration. In addition, time savings were substantial in both samples, particularly the spine surgery sample, as item savings varied from 40% to 80%, depending on the number of substantive domains flexibly administered. Overall, the results of the study lend support for the feasibility of the FCA approach in presurgical evaluations of spine surgery candidates, in particular for those situations where the length of the test would otherwise preclude its use.

The purpose of this investigation is to provide descriptive information on veteran response styles for a variety of VA referral types using the Minnesota Multiphasic Personality Inventory (MMPI)-2-Restructured Form (MMPI-2-RF), which has well-supported protocol validity scales. The sample included 17,640 veterans who were administered the MMPI-2-RF between when it was introduced to the VA system in 2013 until May 31, 2015 at any VA in the United States. This study examines frequencies of protocol invalidity based on the MMPI-2-RF's validity scales and provides comprehensive descriptive findings on validity scale scores within the VA. Three distinct trends can be seen. First, a majority of the sample did not elevate any of the validity scales beyond their recommended interpretive cut-scores, indicating that scores on the substantive scales would be deemed valid and interpretable in those cases. Second, elevation rates are higher for the overreporting scales in comparison to the underreporting and non-content-based invalid responding scales. Lastly, a majority of those with an elevation on one overreporting validity indicator also had an elevation on at least one other overreporting scale. Implications for practice and the utility of the MMPI-2-RF within the VA are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

This study compares profiles of Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scale scores from 1492 VA test-takers who served during the Vietnam or Gulf War service eras. The sample includes all such cases collected at any VA posttraumatic stress disorder Clinical Teams across the United States between January 1, 2008 and May 31, 2015 using the MMPI-2 or MMPI-2-RF (via the VA Mental Health Assistant suite). Associations between gender and score differences were also examined. In contrast to past research using the MMPI-2, results of this study suggest that veterans are generally homogeneous in their MMPI-2-RF profiles across different periods of service. Specifically, the magnitudes of mean differences are small and not clinically significant. Thus, responses on the MMPI-2-RF do not appear influenced by service era. Implications for the clinical use of, and research with, the MMPI-2-RF are discussed within the VA healthcare system.

Research using a categorical-polythetic classification system for mental illness has raised concern regarding the validity of categorical classification systems. Recent efforts suggest psychopathology is better understood from a dimensional framework, though there has been varying evidence of a somatization factor. The current investigation seeks to produce and validate a dimensional model of psychopathology, with a particular emphasis on the placement of somatization, across three nonoverlapping medical samples. Using a bariatric surgery seeking sample (n = 1,268), a spine surgery/spinal cord stimulator seeking sample (n = 1,711), and a chronic pain treatment seeking sample (n = 1,388), a dimensional model of psychopathology was replicated across all three samples using a dimensional measure of psychopathology (the Minnesota Multiphasic Personality Inventory-2-Restructured Form [MMPI-2-RF]). Clear evidence of a separate somatization factor was found in addition to broad internalizing, externalizing, and social detachment factors. Constructs assessable with the model yielded good convergent and discriminant validity coefficients with external criteria, and further supported the presence of a higher-order somatization construct. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

It is not uncommon for patients to report diminished outcomes as a result of spine surgery or a spinal cord stimulator implant. Presurgical psychological evaluations are increasingly used to identify patients at increased risk for such outcomes and use of personality assessment instruments in these evaluations provides incremental information beyond a clinical interview and medical chart review. This investigation explores the psychometric properties of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) in a sample of spine surgery patients ( n  = 810) and in a sample of spinal cord stimulator patients ( n  = 533). Results indicated that MMPI-2-RF substantive scale scores are reliable, with evidence of good convergent and discriminant validity in both samples. Incorporating the MMPI-2-RF as part of the presurgical evaluation of spine surgery and spinal cord stimulator patients can provide meaningful insight into patients' functioning and help guide pre- and postsurgical treatment in these settings.

In the near-100 years of their existence, response bias indicators have undergone significant advancements in design, as have efforts at examining their validity. However, opportunities remain for greater sophistication in the development and study of these indicators. We discuss important definitional issues pertaining to response bias before turning to a review of common methods used in this area of research followed by discussion of innovations that could further advance response bias investigation. Specifically, we focus on considerations for conducting research on the need for, evaluation, and design of response bias indicators. We review established and innovative research approaches and how they can be used to further this line of work. Throughout, we identify areas in need of additional study as we work to advance knowledge about the impact of invalid responding and the utility of the indicators available to detect it. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Background: Obstructive sleep apnea (OSA) is prevalent among bariatric surgery candidates and is associated with numerous adverse health conditions, both pre- and postoperatively. Continuous positive airway pressure therapy (CPAP) is the first-line treatment for OSA, but it requires significant behavioral changes. As such, CPAP adherence is a significant problem in OSA treatment. Information from the preoperative psychological evaluation may be used to identify psychosocial risk factors associated with CPAP nonadherence and inform the implementation of more specific and appropriate interventions., Objectives: Examine the utility of Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) behavioral/externalizing dysfunction scale scores to determine personality and psychopathology associations with, and risk for, CPAP nonadherence., Setting: Academic medical center., Methods: Patients who underwent a preoperative psychological evaluation and were diagnosed with OSA (n = 358) were divided into 2 groups: CPAP adherent (n = 271) and CPAP nonadherent (n = 87). Independent samples t tests were computed to examine differences in average MMPI-2-RF scale scores between these groups. Relative risk ratios were computed using multiple MMPI-2-RF substantive scale score cut-offs to determine which MMPI-2-RF scales were associated with increased risk of CPAP nonadherence., Results: Higher scores on scales measuring behavioral/externalizing dysfunction and family problems were associated with and indicative of risk for CPAP nonadherence., Conclusions: CPAP nonadherence is related to and may be affected by generally higher levels of behavioral/externalizing dysfunction. Using a broadband measure of personality and psychopathology, like the MMPI-2-RF, during the preoperative evaluation can provide important information about co-morbid symptoms that may interfere with CPAP adherence. Considering this information during preoperative treatment planning could increase the likelihood of preoperative CPAP adherence and reduce the likelihood of adverse postoperative outcomes., (Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)